Elderly discharged home do well after heart valve surgery

September 4, 2012

People over the age of 80 generally do well after aortic or mitral valve replacement surgery, especially if they are discharged home, according to a study published in the September issue of The Annals of Thoracic Surgery.

(HealthDay)—People over the age of 80 generally do well after aortic or mitral valve replacement surgery, especially if they are discharged home, according to a study published in the September issue of The Annals of Thoracic Surgery.

The researchers found that older, unmarried patients with at least one major complication were significantly more likely to not be discharged home after valve surgery. Cumulative survival was significantly lower at one-year (85.8 versus 94.6 percent) and two-years (80.1 versus 90.3 percent) for those not discharged home. On multivariable analysis, patients not discharged home had significantly poorer one- and two-year survival (hazard ratio, 2.56 and 2.06, respectively). For those not discharged home, significant predictors of increased mortality included length of stay and any major complication, with lower body mass index marginally significant.

"Overall, octogenarians can expect excellent survival after valve surgery," the authors write. "However, we found that patients not discharged home after surgery did not experience as robust of outcomes as those patients discharged to home."

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